Journal
JOURNAL OF HEPATOLOGY
Volume 38, Issue 5, Pages 556-563Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/S0168-8278(03)00012-6
Keywords
endothelin-1; endothelin receptor; portal hypertension; cirrhosis; endothelial nitric oxide synthase; common bile duct ligation; intrapulmonary vasodilatation; portal vein ligation; hepatopulmonary syndrome; pulmonary artery
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Background/Aims: In experimental hepatopulmonary syndrome (HPS), hepatic endothelin-1 (ET-1) release during common bile duct ligation (CBDL) and ET-1 infusion in pre-hepatic portal hypertension after portal vein ligation (PVL) initiate vasodilatation through an endothelin B receptor mediated increase in pulmonary endothelial nitric oxide synthase (eNOS). We evaluated if pulmonary ET receptor expression changes in experimental cirrhosis and portal hypertension and confers susceptibility to HPS. Methods: In normal, PVL and CBDL animals, lung ET receptor expression and localization were assessed and ET receptor levels and functional analysis of ET-1 effects on eNOS levels were evaluated in intralobar pulmonary artery (PA) and aortic (AO) segments. Normal rats underwent evaluation for HPS after ET-1 infusion. Results: There was a selective increase in ETB receptor expression in the pulmonary vasculature from PVL and CBDL animals. ET-1 stimulated NO production and an ETB receptor mediated increase in eNOS levels in PA segments from PVL and CBDL animals, but not normal animals. ET-1 did not alter lung eNOS levels or cause HPS in normal rats. Conclusions: ETB receptor expression and ET-1 mediated eNOS and NO production are enhanced in the lung vasculature in cirrhotic and portal hypertensive animals and correlate with in vivo susceptibility to ET-1 mediated HPS. (C) 2003 European Association for the Study of the Liver. Published by Elsevier Science B.V. All rights reserved.
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